Convene the leaders of the multiple networks providing telehealth services in the

描述(由申请人提供)：该项目将召集在多个州区域提供远程保健服务的多个网络的技术和业务领导人，以确定这些不同网络之间提供服务的互操作性面临的挑战、研究计划并达成协议。能够就基础设施、功能、工具、标准、互操作性规范和系统架构达成一致，将导致更高效地使用资源，从而提高该地区医疗保健的质量、安全、效率和有效性。表示希望参加这一活动的网络正在以下州运作：7亚利桑那州7科罗拉多州7爱达荷州7蒙大拿州7内布拉斯加州7新墨西哥州7犹他州7怀俄明州此外，西北地区远程医疗资源中心(NRTRC)已同意支持这一努力，并帮助传播项目结果。NRTRC覆盖阿拉斯加、爱达荷州、蒙大拿州、俄勒冈州、犹他州、华盛顿州和怀俄明州，拥有32个远程医疗网络成员。 公共卫生相关性：远程医疗是将临床医疗服务扩展到农村和边境地区的一种快速增长的手段。远程医疗网络正在发展和扩展到新的市场和领域。随着这种增长的发生，全国各地的远程医疗网络面临着互操作性和标准的问题。毫无疑问，技术市场的发展通常需要标准和互操作性，而不是一家公司赢得压倒性的领导地位。但如今，没有一家公司在个人互联健康领域占据主导地位。例如，持续健康联盟在设备和软件制造商中培养经济型行为的努力取得了进展，但就目前而言，专有和不同的技术和平台占据主导地位。第一代安装的设备和应用程序不容易相互集成。1怀俄明州健康信息组织(WyHIO)及其合作伙伴认为，远程医疗是提高农村和前沿地区医疗保健质量、安全、效率和有效性的有效机制。怀俄明州。互操作性是提供可靠和无缝的远程保健服务的关键，这一努力将为各种远程保健网络之间的进一步互操作性提供选择。WyHIO正在与落基山地区的多个远程医疗网络以及怀俄明大学、工程学院和应用科学学院的电气和计算机工程系合作，共同研究互操作性的技术和采用方面。AHRQ会议支持小额赠款计划的资金将使我们能够实现几个似乎与AHRQ赠款的目的一致的目标。具体地说，我们将把赠款资金用于以下方面：1.召集来自该地区远程医疗网络的技术和运营人员、怀俄明大学(UW)教职员工和学生，以及其他关键的远程医疗利益相关者，以确定互操作性和无缝交付临床远程医疗服务的挑战；2.就如何实现互操作性交换意见并确定优先顺序；3.为UW制定可互操作的远程医疗网络设计草案，为他们定义研究议程；4.根据设计草案，重新召集远程医疗利益相关者、UW教职员工和研究生审查互操作性设计并采纳建议；5.利用西北区域远程保健资源中心(NRTRC)和其他远程保健资源中心的资源，向利益攸关方和远程保健社区的其他成员传播这一努力的成果。该项目的首席调查员是WyHIO执行董事Larry Biggio。拉里在技术、金融和管理方面拥有广泛的经验，并成功地组织和主持了与此项目类似的其他HIT和电信会议。Suresh Muknahallipatna博士将参加会议，并领导怀俄明大学的网络互操作性设计工作。穆克纳哈利帕特纳博士是怀俄明大学工程与应用科学学院电气与计算机工程系的教授。穆克纳哈利帕特纳博士还将领导设计可互操作的远程医疗网络的技术工作。工程与应用科学学院的卡梅隆·赖特教授和曾傑瑞·哈曼教授也将加入他的行列，他们将协助确定项目范围并参加项目会议。该项目预算总额为45,002.00美元的联邦资金。迈克尔·加莱利，《婴儿潮、技术和健康：消费者当家》，麻省理工学院西北企业论坛，http://www.mitwa.org/sites/default/files/files/MITEF%20NW%20Boomers%20Technology%20and%20Health%20Report.pdf

DESCRIPTION (provided by applicant): This project will convene the technical and operational leaders of the multiple networks providing telehealth services in a multi-state region to identify challenges to, a research plan for, and reach agreement on interoperability of service delivery among those various networks. The ability to reach agreement on infrastructure, capabilities, tools, standards, interoperability specifications, and systems architecture will result in more efficient use of resources, allowing for improved quality, safety, efficiency, and effectiveness of healthcare in the region. Networks expressing a desire to participate in this event are operating in the following states: 7 Arizona 7 Colorado 7 Idaho 7 Montana 7 Nebraska 7 New Mexico 7 Utah 7 Wyoming Additionally, the Northwest Regional Telehealth Resource Center (NRTRC) has agreed to support the effort and help with dissemination of project results. The NRTRC covers the states of Alaska, Idaho, Montana, Oregon, Utah, Washington and Wyoming with a membership of 32 telehealth networks. PUBLIC HEALTH RELEVANCE: Telehealth is a rapidly growing means of extending clinical healthcare services to rural and frontier areas. Telehealth networks are developing and expanding into new markets and areas. As this growth occurs, telehealth networks across the nation face issues of interoperability and standards. There is no dispute that standards and interoperability are typically needed for technology markets to grow, not withstanding a single company winning a commanding leadership position. But today, no company wields dominant market power in personal connected health. Efforts by Continue Health Alliance, for instance, to foster economic-type behavior among device and software makers has made progress, but for now, proprietary and disparate technologies and platforms rule. The first generations of installed devices and applications do not easily integrate with each other.1 The Wyoming Health Information Organization (WyHIO) and its partners believe telehealth is an effective mechanism to improve the quality, safety, efficiency, and effectiveness of healthcare in rural and frontier areas. Wyoming. Interoperability is key to providing the reliable and seamless delivery of telehealth services, and this effort will provide options to further interoperability among various telehealth networks. The WyHIO is teaming with the multiple telehealth networks in the Rocky Mountain Region and the Electrical and Computer Engineering Departments of the University of Wyoming, College of Engineering and Applied Science to work on the technical and adoption aspects of interoperability. Funding from the AHRQ Small Grant Program for Conference Support would allow us to accomplish several objectives that appear consistent with the purpose of the AHRQ grant. Specifically, we would use grant funds for the following: 1. Bring together technical and operating staff from telehealth networks in the region, University of Wyoming (UW) faculty and students, and other key telehealth stakeholders to identify the challenges to interoperability and seamless delivery of clinical telemedicine services; 2. Exchange and prioritize ideas about how we accomplish interoperability; 3. Define a research agenda for the UW as they develop a draft interoperable telehealth network design; 4. With the draft design, reconvene the telehealth stakeholders, and the UW faculty and graduate students to review the interoperability design and adopt recommendations; 5. Disseminate the results of this effort to stakeholders and other members of the telehealth community using the resources of the Northwest Regional Telehealth Resource Center (NRTRC) and other Telehealth Resource Centers. The Principal Investigator for this project is the WyHIO Executive Director, Larry Biggio. Larry has extensive in technology, finance, and administration, and has successfully organized and conducted other HIT and telecommunications meetings similar to this project. Suresh Muknahallipatna, Ph.D. will participate in the conference and lead the network interoperability design efforts at the University of Wyoming. Dr. Muknahallipatna is a professor in Department of Electrical & Computer Engineering, College of Engineering and Applied Science at the University of Wyoming. Dr. Muknahallipatna will also lead the technical efforts to design an interoperable telehealth network. He will be joined by Professors Cameron Wright and Jerry Hamann, also of the College of Engineering and Applied Science, who will assist with scoping the project and participating in the project conferences. The project budget totals $45,002.00 of federal funds. 1 Michael Gallelli, Boomer, Technology, and Health: Consumers Taking Charge, MIT Enterprise Forum Northwest, http://www.mitwa.org/sites/default/files/files/MITEF%20NW%20Boomers%20Technology%20and%20Health%20Report.pdf